Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

East Tennessee Children's Hospital Association, Inc (NPI 1831499789)

Field	Value
Entity Type	Organization
Organization	East Tennessee Children's Hospital Association, Inc
Address	11227 W Point Dr
City	Farragut
State	TN
ZIP	37934
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 26, 2010

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

62 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	18,840	$370	$7M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	27,760	$190	$5.2M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,390	$720	$1.7M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	8,390	$140	$1.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	4,930	$180	$902.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	13,620	$70	$885.2K
E0618	Apnea monitor, without recording feature	2,120	$190	$411.7K
B9002	Enteral nutrition infusion pump, any type	5,290	$70	$365.1K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	4,120	$70	$272K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,450	$100	$242.1K

Showing 1–10 of 62

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Tennessee providers billing the same CPT/HCPCS codes.

Claims Volume vs. Tennessee Distribution

East Tennessee Children's Hospital Association, Inc — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	3	20	2,380	$330	$2.3M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	5	10	1,300	$500	$1.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	4	30	3,000	$90	$961.2K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	4	20	2,850	$110	$728.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	1,170	$160	$514.8K
E0618	Apnea monitor, without recording feature	1	10	2,120	$190	$410.6K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7	10	1,140	$170	$344.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	56	150	8,400	$30	$342.7K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12	30	1,570	$30	$161.8K
A4624	Tracheal suction catheter, any type other than closed system, each	3	10	910	$90	$161.4K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with East Tennessee Children's Hospital Association, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
East Tennessee Children's Hospital Association, Inc.	TN	Children's Hospital	$0	$88.6M
Dba: Dolly Parton Children's Hospital Cardiology	TN	Pediatric Cardiology Physician	$0	$3.5M
East Tennessee Children's Hospital Association, Inc.	TN	Pediatric Pulmonology Physician	$0	$2.6M
East Tennessee Children's Hospital Association, Inc.	TN	Pediatric Anesthesiology Physician	$0	$2.5M
Larry Patterson	TN	Ophthalmology Physician	$929.6K	$0
Michael Moore	TN	Certified Registered Nurse Anesthetist	$22.4K	$0
Catherine Ramsey	MS	Certified Registered Nurse Anesthetist	$17.1K	$0

Nearby Providers

Other providers in the same ZIP code as East Tennessee Children's Hospital Association, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Matthew Cole	TN	Ophthalmology Physician	$3.3M	$0
Otolaryngology Head And Neck Surgery Associates	TN	Specialist	$0	$2.3M
Sara Dajani	TN	Family Nurse Practitioner	$1.6M	$0
Eric Redmon	TN	Family Medicine Physician	$217.4K	$643.2K
Endoscopy Center Of Knoxville LP	TN	Ambulatory Surgical Clinic/Center	$488.2K	$0
Michael Collier	TN	Internal Medicine Physician	$244.4K	$0
Nilamkumar Patel	TN	Clinical Cardiac Electrophysiology Physician	$227.9K	$0
Kimberly Lowe	TN	Family Nurse Practitioner	$204.6K	$0
Harold Silver	TN	Gastroenterology Physician	$199.2K	$100
Kyler Thomas	TN	Foot & Ankle Surgery Podiatrist	$194.9K	$0

East Tennessee Children's Hospital Association, Inc — Billing Profile & Reimbursement Data

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East Tennessee Children's Hospital Association, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References